Dimitrios Lytras, Paris Iakovidis, Konstantinos Kasimis, Vasileios Georgoulas, Ioannis Algiounidis, Georgia Tarfali
{"title":"Effects of simultaneous soft tissue mobilization and capacitive and resistive electric transfer therapy using bracelet electrodes in women with chronic non-specific neck pain: A randomized clinical trial.","authors":"Dimitrios Lytras, Paris Iakovidis, Konstantinos Kasimis, Vasileios Georgoulas, Ioannis Algiounidis, Georgia Tarfali","doi":"10.1177/10538127251342557","DOIUrl":"https://doi.org/10.1177/10538127251342557","url":null,"abstract":"<p><p>BackgroundChronic non-specific neck pain (CNSNP), persisting for over 12 weeks, is commonly associated with myofascial trigger points. Soft tissue mobilization techniques (STMT) and capacitive and resistive electric transfer therapy (TECAR) may reduce pain and improve function.AimTo evaluate the effectiveness of combining STMT with TECAR using resistive bracelet electrodes in women with CNSNP.MethodA parallel-group, assessor-blinded randomized controlled trial (RCT) was conducted in accordance with CONSORT guidelines. Eighty women were randomly assigned to an experimental group (STMT + TECAR) or control (STMT only). TECAR was applied at 500 kHz: 10 min of capacitive mode with a conventional electrode, followed by simultaneous STMT and resistive mode using bracelet electrodes. Participants received 15 sessions over five weeks. NPRS, pressure pain thresholds (PPT), cervical range of motion (ROM), and Neck Disability Index (NDI) were assessed at baseline, week 5, and 6-month follow-up.ResultsThe experimental group showed significantly greater improvements at week 5 in NPRS, NDI, all PPT areas, lateral flexion, and right rotation ROM (p < .05). Clinically meaningful improvements in NPRS and NDI were observed only in the experimental group, while both groups achieved clinically significant gains in PPT. Improvements were sustained at six months; left rotation ROM differed only at follow-up. No differences were found in neck flexion or extension.ConclusionsCombining STMT with TECAR using bracelet electrodes resulted in superior improvements in pain, function, and ROM in women with CNSNP versus STMT alone, likely due to the synergistic mechanical and thermal effects of the intervention.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251342557"},"PeriodicalIF":1.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evren Sönmez, Abdurrahim Tekin, Dilek Ün Oğuzhanasiltürk, Ergin Anlı, Lokman Ayhan, Suna Dilbaz, Akın Öztürk, Nuri Serdar Baş, Semra Işık, Serdar Çevik
{"title":"The effect of paraspinal muscle morphology on the development of osteoporotic lumbar vertebral fractures.","authors":"Evren Sönmez, Abdurrahim Tekin, Dilek Ün Oğuzhanasiltürk, Ergin Anlı, Lokman Ayhan, Suna Dilbaz, Akın Öztürk, Nuri Serdar Baş, Semra Işık, Serdar Çevik","doi":"10.1177/10538127251340350","DOIUrl":"https://doi.org/10.1177/10538127251340350","url":null,"abstract":"<p><p>BackgroundVertebral compression fractures associated with osteoporosis reduce daily living activities. The primary risk factor for osteoporotic vertebral fractures (OVCFs) is the severity of osteoporosis, defined as low bone mineral density (BMD) in both peripheral and central regions. In addition to BMD, sarcopenia is also thought to affect OVCFs by reducing paraspinal muscle mass and strength.ObjectiveWe aimed to evaluate the association between vertebral compression fractures and paraspinal/psoas muscle characteristics, including muscle mass and fatty degeneration, using quantitative MRI measurements.MethodsWe retrospectively enrolled 77 patients aged ≥60 years who were diagnosed with acute OVCF between January 2019 and August 2023. The control group consisted of age- and sex-matched patients with osteoporosis (BMD > -2.5) who were followed up without fractures for at least six months. Demographic characteristics, relative total cross-sectional area (rTCSA) and relative functional CSA (rFCSA) of the multifidus (MF), erector spinae (ES), and psoas major (PS) were measured at the L4-5 and L5-S levels on MRI.ResultsThe TCSA and rTCSA of the multifidus (MF) and erector spinae (ES) muscles at both the L4-5 and L5-S1 levels did not show significant differences between the control and OVCF groups. (all p value > 0.05) The mean FCSAL4-5 of the MF 8.97 ± 2.81, ES 16.73 ± 6.49, the mean FCSAL5-1 of the MF 9.43 ± 3.27, ES 10.76 ± 5.79 in the fracture group, while the mean FCSAL4-5 of the MF 11.39 ± 2.6, ES 19.35 ± 4.04, the mean FCSAL5-1 of the MF 13.42 ± 2.56, ES 14.11 ± 4.6 in the non-fracture group. (PMFL4-5 < 0.001, PMFL5-1 < 0.001, PESL4-5 = 0.003, PESL5-1 < 0.001) The mean TCSA of the psoas muscle was significantly higher in the fracture group (17.65 ± 6.21) than in the control group (15.9 ± 4.14) (p = 0.042). Despite the significantly larger total psoas muscle mass in the fracture group, the rFCSA of the psoas muscle was lower in the fracture group (0.81 ± 0.27) compared to the control group (0.89 ± 0.25) (p = 0.046).ConclusionsThe study shows that the functional muscle mass of the paraspinal muscles is significantly lower in patients with osteoporotic vertebral compression fractures (OVCF) as compared to those without fractures. Quantitative measurement of the functional capacity of the paraspinal muscles using MRI can effectively predict the risk of OVCF and enable early intervention and adopt preventive measures to reduce the incidence of these fractures.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251340350"},"PeriodicalIF":1.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigation of lumbar and cervical lordosis variation in sit-to-stand-to-sit movement with different strategies in healthy subjects.","authors":"Subodh Kumar Suman, Khyati Verma","doi":"10.1177/10538127251317634","DOIUrl":"https://doi.org/10.1177/10538127251317634","url":null,"abstract":"<p><p>BackgroundDue to lower limb impairment, people use greater trunk flexion strategies and cannot maintain the alignment of the upper body, leading to loss of lordosis over time.ObjectiveA comprehensive study is needed to understand the heightened trunk flexion effect on lumbar and cervical lordosis and associated joint moments.MethodsThe three sit-to-stand-to-sit strategies, Natural, Full trunk flexion, and Pelvis-spine alignment, were conducted in 3D motion capture. The hypothesis is that increasing the total lumbar and cervical lordosis depth will reduce the total lumbosacral and cervicothoracic joint moment. Using Visual 3D, inverse kinematics and dynamics for joint moments and angles of the head, trunk, and pelvis at five events/phases, and the corresponding lordosis depth was calculated.ResultsPelvis-spine alignment strategies show a strong positive correlation (r = 0.70) between the total depth of lordosis and reducing the lumbosacral and cervicothoracic joint moment. The full flexion strategy mirrored the compensatory movement with a negative correlation (r = -0.88) on the reduction of lordosis depth and compensated by increasing the cervical lordosis depth.ConclusionsThese findings guide the correcting of spine disorders, the development of physical rehabilitation programs, the design of devices, and the correctness of posture to prevent low back pain and disease progression.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251317634"},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The clinical efficacy of percutaneous vertebroplasty combined with postural reduction versus kyphoplasty: A systematic review and meta-analysis.","authors":"Haien Zhao, Kun Ren, Xin Dong, Bo Liao","doi":"10.1177/10538127241296690","DOIUrl":"https://doi.org/10.1177/10538127241296690","url":null,"abstract":"<p><strong>Background: </strong>Osteoporotic vertebral compression fractures (OVCFs) are a significant cause of disability worldwide.</p><p><strong>Objective: </strong>The purpose of this meta-analysis is to explore whether postural reduction and vertebroplasty (PRVP) offers the same therapeutic efficacy as KP to provide evidence for the treatment strategy of OVCFs.</p><p><strong>Methods: </strong>We searched for the published results of relevant trials in PubMed (Jan 2000 to Dec 2023), Ovid (Jan 2000 to Dec 2023), Science Direct online (Jan 2000 to Dec 2023), the Cochrane Library, the Institute for Scientific Information (ISI) Web of Knowledge (Jan 2000 to Dec 2023), as well as several orthopaedics journals. The full text was obtained and reviewed for the studies meeting the inclusion and exclusion criteria.</p><p><strong>Results: </strong>Five randomized studies were adequately included and analyzed. The data was pooled using Review Manager (REVMAN) 5.3 software. The pooled results showed no significant differences between the two groups in indicated outcomes: the Cobb's angle post-operation (MDs, 2.86; 95% CIs, -0.98 to 6.71; P = 0.14), leakage of cement during operation (RR, 1.66; 95% CIs, 0.89 to 3.08; P = 0.11) and the compression rate of related vertebra (MDs, 4.32; 95% CIs, -1.69 to 10.33; P = 0.16).</p><p><strong>Conclusion: </strong>PRVP and KP were equally effective and safe in the clinical outcomes of OVCFs.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241296690"},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social inequalities among inpatients with non-specific chronic low back pain in medical rehabilitation. A secondary analysis from a randomised controlled trial.","authors":"Petra Hampel, Kevin Dadaczynski","doi":"10.1177/10538127251326157","DOIUrl":"https://doi.org/10.1177/10538127251326157","url":null,"abstract":"<p><p>BackgroundResearch has shown social inequalities in health parameters in the general population, but there is a lack of evidence in medical rehabilitation.ObjectiveTo investigate social inequalities in the utilisation and process of rehabilitation among people with non-specific chronic low back pain (CLBP) and multiple psychological strains undergoing inpatient multidisciplinary orthopaedic rehabilitation (MOR).MethodsThis multicentre study enrolled 910 patients with non-specific CLBP (ICD-10: M51/53/54) and examined the differences in self-initiative to attend rehabilitation, and psychological, work-related, and pain-related parameters prior to MOR stratified by the social class index (lower, middle, upper class). Moreover, socioeconomic differences were investigated in the frequency distributions of psychosocial cut-off scores before rehabilitation, indicating the clinical relevance of the social class index.ResultsCompared with patients in both higher classes, patients in the lower class showed significantly lower self-initiative for rehabilitation as well as unfavourable values for pain self-efficacy and work-related and pain-related parameters.ConclusionsHealth-related inequalities in the inpatient MOR of non-specific CLBP were supported. To promote better health equity, patients should be allocated to rehabilitation according to their needs and individually strengthened in terms of their self-efficacy, health literacy, and ability to cope with pain and work-related stress.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251326157"},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bassam A El-Nassag, Nadia Mohamed Abdelhakiem, Ahmed S Abdelhamid, Rasha M El-Marakby, Shymaa Salem
{"title":"Short term effectevness of tibial nerve flossing technique in patients With tarsal tunnel syndrome.","authors":"Bassam A El-Nassag, Nadia Mohamed Abdelhakiem, Ahmed S Abdelhamid, Rasha M El-Marakby, Shymaa Salem","doi":"10.1177/10538127251338173","DOIUrl":"https://doi.org/10.1177/10538127251338173","url":null,"abstract":"<p><p>ObjectiveTo examine the short-term influence of adding tibial nerve flossing (TNF) technique to conventional therapy on foot pain, Dorsiflexion-Eversion (DF-E) test, ankle range of motion (ROM), and tibial nerve conduction study (NCS) in individuals with Tarsal Tunnel Syndrome (TTS).MethodsThis was a parallel randomized pre-post-test single blinded controlled trial, included 54 individuals with TTS randomized into study and control groups. Both groups received conventional therapy including transcutaneous electrical nerve stimulation (TENS), therapeutic ultrasound (US), gastrocnemius (GC) muscle stretching, and foot arches supports/wedges provided as needed with an additional (TNF) technique provided for the study group. The intervention was 3 days/week on alternate days, for a four-week duration. Pain severity and DF-E test as primary; ankle dorsiflexion ROM and tibial NCS as secondary measures, were collected pre- and post-treatment.ResultsWithin-groups comparison showed a significant improvement in all tested variables. Post-treatment between-groups comparison showed a notably higher scores in favor for the study group (p < 0.05) except for the (DF-E) test (p > 0.05).ConclusionTibial nerve flossing is an effective adjunct to conventional therapy in improving foot pain, ankle ROM, and tibial nerve conduction in individuals with TTS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251338173"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Therapeutic mechanisms of fascia manipulation: A scoping review.","authors":"Yuichi Isaji, Daisuke Sasaki, Kohei Okuyama, Yasuyuki Kurasawa, Kosuke Suzuki, Yusuke Kon, Takashi Kitagawa","doi":"10.1177/10538127251341828","DOIUrl":"https://doi.org/10.1177/10538127251341828","url":null,"abstract":"<p><p>BackgroundFascia manipulation is gaining attention due to their potential benefits in pain management, neuromuscular function, and tissue healing. However, the mechanisms underlying these effects remain unclear, limiting treatment optimization.ObjectivesThis scoping review (ScR) aimed to summarize current evidence on the physiological, structural, and neuromuscular mechanisms underlying fascia manipulation as a therapeutic intervention.MethodsThis ScR followed the Joanna Briggs Institute guidance. A comprehensive search of MEDLINE, Web of Science, CINAHL, Cochrane Central, EMBASE, Scopus, PEDro, ClinicalTrials.gov, and ICTRP was conducted in January 2025. Two independent reviewers selected studies and extracted data. Two independent reviewers selected studies and extracted data.ResultsEleven studies were included: eight on humans and three on animals. In humans, manual therapy triggered a transient local inflammatory response, raising temperature without activating coagulation or thrombosis risk. It also reduced unbound water in deep fascia, aiding pain relief and mobility. Animal studies showed anti-inflammatory effects via cytokine regulation and adenosine receptor involvement, with caffeine blocking pain relief. Massage-like stroking produced opioid-independent analgesia. Fascia manipulation relieved pain from densification and improved proprioception. Neuromusculary, it enhanced reaction time, movement efficiency, and motor performance, lasting up to a week.ConclusionsThis ScR suggests that fascia manipulation exerts its therapeutic effects through a combination of anti-inflammatory cytokine modulation, mechanoreceptor stimulation, and improvement in fascial gliding and proprioceptive feedback. These mechanisms collectively support its role in pain relief and neuromuscular function. Further research using standardized protocols and objective outcome measures is needed to validate and expand upon these findings.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251341828"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Claudia Cavaggion, Santiago Navarro-Ledesma, Birgit Juul-Kristensen, Alejandro Luque-Suarez, Lennard Voogt, Filip Struyf
{"title":"The effect of painful exercise on ultrasonographic outcomes in rotator cuff-related shoulder pain: Secondary analysis of a randomized controlled trial.","authors":"Claudia Cavaggion, Santiago Navarro-Ledesma, Birgit Juul-Kristensen, Alejandro Luque-Suarez, Lennard Voogt, Filip Struyf","doi":"10.1177/10538127251334430","DOIUrl":"https://doi.org/10.1177/10538127251334430","url":null,"abstract":"<p><p>BackgroundThe effects of painful or pain-free exercises on Ultrasound (US) parameters in rotator cuff-related shoulder pain (RCRSP) is still unexplored.ObjectiveTo investigate in chronic RCRSP i) the differences between exercise with or without pain on US outcomes, ii) the relationship between changes in US findings and symptoms.MethodsSecondary analysis of randomized controlled trial. Patients were assigned to exercise with pain or without pain in a 12-week intervention. Acromiohumeral distance, coracohumeral distance, tendon thicknesses of supraspinatus, long head of the biceps (LHB), and subscapularis were measured at baseline, 9, 12, 26 weeks. Correlations between changes in US findings and the primary clinical outcome, Shoulder and Pain Disability Index (SPADI), were investigated.ResultsForty-one patients were analyzed. No difference between groups over time was found (time-by-group interaction: 0.07 ≤ <i>p</i> ≤ 0.85, time effect: 0.24 ≤ <i>p</i> ≤ 0.83). Changes in SPADI and US outcomes (baseline-26weeks) were not correlated, except for LHB (r = 0.45, <i>p</i> = 0.01). While SPADI significantly decreased, LHB non-significantly increased (0.07 mm).ConclusionsExercise with or without pain did not influence subacromial and subcoracoid spaces nor shoulder tendon thicknesses. Increase of subacromial space should not be an objective of rehabilitation programs. LHB activation might be relevant as compensating mechanism for rotator cuff deficiency.Clinical Trial Number: NCT04553289.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251334430"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nezar A Althagafi, Abdullah Alqarni, Majed Albadi, Rawan Aldhabi, Umar Alabasi
{"title":"Translation, cross-cultural adaptation, and validation of the arabic version of the foot and ankle ability measure (FAAM-AR).","authors":"Nezar A Althagafi, Abdullah Alqarni, Majed Albadi, Rawan Aldhabi, Umar Alabasi","doi":"10.1177/10538127251339166","DOIUrl":"https://doi.org/10.1177/10538127251339166","url":null,"abstract":"<p><p>BackgroundThis study aimed to cross-cultural translate the Foot and Ankle Ability Measure to Arabic version (FAAM-AR) and to assess the psychometric properties of the FAAM-AR in a sample of Arabic-speaking participants.MethodologyThe FAAM-AR was translated according to the International Society for Quality of Life Assessment (IQOLA) guidelines. To determine construct validity, 106 participants with different foot and ankle musculoskeletal pathologies completed the FAAM-AR and SF-36. In addition, the FAAM-AR internal consistency was assessed by calculating Cronbach's alpha coefficient. Test-retest reliability was assessed using Intra-class correlation coefficient ICC<sub>2,1</sub>.ResultsThe FAAM-AR was moderately correlated with Physical component Summary of SF-36 (ADL r = 0.67; Sport r = 0.67). Whereas, FAAM-AR showed weak correlations with Mental component Summary of SF-36 (ADL r = 0.33; Sport r = 0.19). The FAAM-AR showed excellent degree of internal consistency (ADL = 0.95; Sport = 0.92), and excellent test-retest reliability (ADL = 0.95; Sport = 0.95).ConclusionThe FAAM-AR is a valid and reliable tool for assessing ankle-foot functional status among Arabic-speaking patients with various ankle or foot musculoskeletal pathologies.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251339166"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stability, functionality, balance, and muscle strength in CrossFit athletes with and without pain.","authors":"Merve Paksoy, Berkiye Kirmizigil","doi":"10.1177/10538127251341831","DOIUrl":"https://doi.org/10.1177/10538127251341831","url":null,"abstract":"<p><p>BackgroundThe objective of this study was to evaluate and compare the stability, functionality, balance, and muscular strength of the upper and lower extremities between CrossFit athletes with and without musculoskeletal pain.MethodsThe study included 65 individuals between the ages of 20-45 who did CrossFit training. The Extended Nordic Musculoskeletal System Questionnaire (NMQ-E) was used for musculoskeletal system problems, the Upper and Lower Extremity Y Balance Test (YBT) was used for lower and upper extremity balance assessments, respectively, the Single Leg Hop Test (SLHT) was used for functional performance assessments, the Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST) and Closed Kinetic Chain Lower Extremity Stability Tests (CKCLEST) were used for stability assessment, and an isokinetic dynamometer was used for muscle strength assessment of the athletes included in the study. The study was registered on the Clinical Trials website by the number NCT05682534.ResultsThe most frequently reported injury sites in CrossFit athletes were found to be shoulders (49.02%), waist (39.22%), knee (37.25%), and wrist (13.73%), respectively. While it was determined that there were statistically significant differences between the CKCLEST of athletes experiencing low back pain compared to those who did not (p < 0.05, p = 0.026), no differences were found between those with and without pain in any other measurement results (p > 0.05).ConclusionsWhile it was observed that CrossFit athletes frequently had musculoskeletal system pain in the shoulder, waist, knee and wrist regions, balance, stability, strength, and functional performance were not affected despite the athletes' pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251341831"},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}